Midgut volvulus

Case contributed by Mohammad Saboor Rastin
Diagnosis certain


Vomiting and severe abdominal pain.

Patient Data

Age: 12 years
Gender: Female
  • significant distension of the stomach and duodenum

  • small bowel loops are in the right hemi-abdomen consistent with intestinal malrotation

  • twisted mesentery representing a whirlpool sign

  • inverted SMA/SMV relationship

  • mild free fluid within the peritoneal cavity

Case Discussion

The CT features are suggestive of midgut volvulus in the background of intestinal malrotation.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.